ROBERT F S PUENTES MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036036215

License Status

INACTIVE

Business

First Name

ROBERT F S

Last Name

PUENTES

Suffix

Business Name

ROBERT F S PUENTES MD

Original Issue Date

11/19/1959

Effective Date

11/19/1959

Expiration Date

07/31/2002

City

PEORIA HEIGHTS

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006